Acute combined systolic (congestive) and diastolic (congestive) heart failure
ICD-10 I50.41 is a billable code used to indicate a diagnosis of acute combined systolic (congestive) and diastolic (congestive) heart failure.
Acute combined systolic and diastolic heart failure, also referred to as congestive heart failure (CHF), is a complex clinical syndrome characterized by the heart's inability to pump sufficient blood to meet the body's needs. This condition involves both the systolic (the heart's ability to contract) and diastolic (the heart's ability to relax and fill) phases of the cardiac cycle. Clinically, patients may present with symptoms such as dyspnea, fatigue, edema, and orthopnea. The anatomy involved includes the heart chambers, particularly the left ventricle, and the surrounding vascular structures. Disease progression can lead to worsening heart function, increased hospitalizations, and a higher risk of mortality. Diagnostic considerations include echocardiography to assess ejection fraction, BNP levels to evaluate heart strain, and clinical assessments of fluid status. Early recognition and management are crucial to improving outcomes and preventing complications.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I50.41 covers acute heart failure where both systolic and diastolic dysfunction are present. This includes patients with acute exacerbations of chronic heart failure and those with new-onset heart failure exhibiting both types of dysfunction.
I50.41 should be used when both systolic and diastolic heart failure are clinically documented. If only one type is present, codes I50.20 (Systolic heart failure) or I50.30 (Diastolic heart failure) should be selected.
Documentation should include clinical findings that confirm both systolic and diastolic dysfunction, results from echocardiograms, BNP levels, and a comprehensive assessment of the patient's symptoms and functional status.
